# 818 MEDICAL SUPPLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710568878
- **Authorized official:** CARLOS LORENZO (CEO)
- **Authorized official phone:** (818) 429-8063

## Contact information

- **Practice address:** 6166 1/4 SEPULVEDA BLVD, VAN NUYS, CA 91411-2503
- **Practice address phone:** (818) 429-8063
- **Mailing address:** 6166 1/4 SEPULVEDA BLVD, VAN NUYS, CA 91411-2503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2021
- **Last updated:** 04/19/2021